Atza M Acosta Feliciano, MD
Individual provider Active NPI Family Medicine Physician · Brandon, FL
NPI 1194239384 · NPPES record last updated Aug 28, 2026
Key facts
- NPI
- 1194239384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME133710 (FL)
- Practice address
- 1989 W Lumsden Rd
Brandon, FL 33511-8821 - Phone
- (813) 653-3111
- Fax
- (813) 653-1384
- NPI assigned
- Nov 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181128001514 | FL | Practitioner - Family Practice | 5698023760 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Senior Medical Center of Florida, LLC | Current |
Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current |
Accepting new patients |
Locations
206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003
4715 S Florida Ave
Ste 200
Lakeland, FL 33813
Phone (863) 209-7004
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME133710 | FL | Yes |
Addresses
Primary practice location
1989 W Lumsden Rd
Brandon, FL 33511-8821
Mailing address
1989 W Lumsden Rd
Brandon, FL 33511-8821
Phone (813) 653-3111
Other practice location 1
411 Calle Cerro las Mesas
Cerro Lindo Apt 202
Mayaguez, PR 00680-0068
Phone (772) 985-0749
Other practice location 2
B12 Calle 14
Urb Medina
Isabela, PR 00662-0066
Phone (772) 985-0749
Other providers in Brandon, FL
- Ac Staffing, Inc
- Accessible Care Solutions, Inc.
- Denys Acevedo
- Ivan Foster Ackerman
- Jesseanne Ackerman
- Frances Jacinto Acosta
- Jorge Luis Acosta
- Active Adult Care, LLC
- Active Assisted Living LLC
- Active Care Chiropractic & Rehabilitation, L.L.C.
All providers in Brandon, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.